Otitis media

An acute otitis media is an inflammation of the mucosa in the middle ear. It is caused by viruses, bacteria or their poisons (toxins). Until third year of life two thirds of all children have already at least gone through once an otitis media. As of the sixth year of life this painful illness no longer so frequently appears.

The middle ear is a cavity lined with mucosa and filled with air (tympanic cavity). He lies between the eardrum and the internal ear. The three auditory ossicles which pass the vibrations of the eardrum on to the real hearing organ, the internal ear, are in him. The so-called eustachian tube (tuba auditiva) usually takes care that the pressure balance can take place in the middle ear an air duct between the tympanic cavity of the middle ear and the nasopharynx space. One of the reasons for the frequent appearance of the otitis media is due to the anatomical conditions with children. Your eustachian tubes are shorter and narrower than with adults. A simple common cold or an infection in the nasopharynx space is conducted over the eustachian tube into the middle ear. The eustachian tube the eustachian tube ignites, the mucosa swells up shuts oneself off and the secretion cannot drain away any more. The shoots can increase in the completed middle ear. Inflamed pharyngeal tonsils (adenoid) are chronically the most frequent reasons for the otitis media besides the infections of the upper air routes with children.

The following symptoms are characteristic at an otitis media:

  • After the cold beginning mainly at night piercing, pulsating earaches or feeling of pressure in the ear usually some days appears.
  • Sometimes the intense pains are accompanied by headaches.
  • The hearing is reduced by the fluid accumulation in the ear.
  • Fevers as well as vomiting and diarrhea can simultaneously appear.
  • Hyperkinesia and crying frequently are characteristic at infants. You often don't drink either. Any touch in the ear area or also only the touchdown of a cap leads to pains and wines. Smaller children often throw the head to and fro and feel their hurting ear.
  • Perhaps purulently bloody secretion leaves the auditory canal. The accumulated fluid then has squeezed so intensely in the middle ear from inside against the eardrum that it has caught on ("the ear has broken") and it comes from the ear to the discharge. The child has a "regular ear". By the decompression the earaches stop suddenly. The eardrum usually by themselves within 14 days heals.
Always take your child to the physician immediately at every suspicion of otitis media.

Your physician will examine the ears of your child with the ear mirror (otoscope). So it can distinguish an otitis media of an inflammation of the external auditory canal or of a grinding up effusion.

The following therapies are used:

  • If it (usually of pneumococci or Haemophilus influenzae) is a bacterial infection, an antibiotic is prescribed.
  • Nose dropses going down are ordered so that mucosa the mucosa of the eustachian tube goes down and the middle ear is ventilated again be able to. You shouldn't be taken too long without a medical piece of advice since otherwise the nasal mucosa dries out too much.
  • An expectorant preparation for taking which solves the mucus accumulated in the eustachian tube and tympanic cavity so that it can drain away is furthermore important.
  • Paracetamol juice or suppositories help against the pains, for example. The pains usually after one to three days pass.
  • Becoming often also homeopathic combination preparations in the form of guttas or being able to these help, particularly at once, taken at the beginning of the illness, ordered tablets, very well.

The following measures can support the healing:

  • Red light and head steam baths seem going down to the mucosa of the eustachian tube.
  • Heat soothes the pains. Put her child increased lightly on a hot-water bottle with the hurting ear.
  • Alcohol or onion packs work by your germicidal contents substances and their heat.
  • Ear guttas use at an otitis media little since the inflammation didn't succeed in them to the place. The eardrum lies between this. You work at inflammations of the external auditory canal.

Broader medical treatment possibilities at an otitis media:

  • With children with whom extended pharyngeal tonsils (adenoid) are the con-causes of the frequent otitis medias these should be removed (adenotomy).
  • Little pipes (grinding up small pipes) are put into the eardrum at multiple inflammations to safeguard a ventilating of the middle ear.
  • Primarily if it has come and/or frequently existed an otitis media for the breakthrough of the eardrum, a hearing test should be carried out.

Complications also can appear at an otitis media:

  • The inflammation spreads (mastoiditis) on the adjacent bone (mastoid process of the temporal bone). Behind the ear a pressure painful reddening and tumescence are, the auricle sticks out.
  • In rare cases it comes to a brain skin inflammation (meningitis) or a face nerve paralysis.
  • The internal ear can be damaged, it comes to hearing aggravation.
  • Frequent otitis medias can lead to a durable impairment of the hearing by cicatrizations. The children are impaired by it in their speech development.
An acute otitis media can change into a chronic one, not treated sufficiently. A hole in the eardrum or a damage done to the auditory ossicles can be the consequence. A restriction of the hearing is connected with that.


These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.


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